Drug Protocol

10mg in 1ml ampoule

Significant pain

Autonomic Dysreflexia (GTN first line of Rx, Morphine considered if unresponsive to initial Rx)

KSAR

• Elderly
• Hypotension
• Respiratory tract burns
• Respiratory depression and failure
• Known addiction to narcotics
• Patients on MAOI's

• Bradycardia
• Drowsiness
• Hypotension
• Nausea and vomiting
• Pin point pupils
• Respiratory depression

• 2.5-10mg IM as initial dose
• Incremental doses of up to 5mg every 10 minutes until significant reduction of pain or onset of undesirable side effects.
• Total max dose = 20mg

• Hypotensive Pt's (BP less than 90mm Hg)
• All dosages to be halved or no greater than 2.5mg incremental IV or 5mg IM.
• ACPs must call for ICP backup if available

• 2.5-5mg IV as initial dose
• Incremental doses of up to 5mg every 5 minutes until significant reduction of pain or onset of undesirable side effects.
• Total max dose = 20mg

• Hypotensive Pt's (BP less than 90mm Hg)
• All dosages to be halved or no greater than 2.5mg incremental IV or 5mg IM.
• ACPs must call for ICP backup if available

200mcg/kg IM as the initial dose.

Total max dose = 200mcg/kg.

100mcg/kg IV as the initial dose up to a maximum bolus dose of 2.5mg.

Further incremental doses of up to 50mcg/kg (up to a max bolus dose of 2.5mg) every 5 minutes until significant reduction of pain or onset of undesirable side effects. Total max dose = 200mcg

Medical consultation required